Surgical Demonstration: JOURNEY™ II XR with NAVIO™

In this surgical demonstration video, Dr Chow performs a total knee arthroplasty using the JOURNEY II XR with robotic-assistance from the NAVIO Surgical System.

The patient is a 52 year old competitive cyclist, who has had eight prior surgeries, mostly arthroscopically related. She has pain in all three compartments, with little deformity, mostly valgus that is getting in the way of her competitive cycling. Dr Chow shows how to use the NAVIO device to map out the bone and joint space in preparation for the replacement and joint alignment.

Patient Specific Instrumentation: It Makes the JOURNEY Easier

This short lecture by Dr Michael Ast (US) discusses the advantages of VISIONAIRE patient-matched technology in total knee arthroplasty, including how the guides can offer improved efficiency and accuracy over standard instrumentation. He outlines the potential reductions in blood loss, length of stay and fat embolisation, and how it may result in cost savings. Dr Ast is Director of Outpatient Joint Replacement, Mercer County Surgery Center.

Debate: Outpatient Joint Replacement: Patients Are Happier

The lecture continues the debate around outpatient joint replacement surgery. Dr Ritesh Shah (US) discusses his own experience on the current trends and advantages of outpatient programmes, including how refined techniques, medication and anaesthesia, with physical therapy, can help early mobilisation and predictability of outcomes. Dr Shah offers patient examples and tips on starting an outpatient programme, concluding with first-year results. Dr Shah is Chairman of the Centers of Excellence, Illinois Bone and Joint Institute. Filmed at the North American Hip and Knee Symposium, 2018.

Bearing Options: What Do the Registries Tell Us?

Dr Richard McCalden (CA) outlines the role of joint registries in informing bearing surface choice for total hip arthroplasty, including what constitutes a good joint registry and those currently available. In comparing trend and performance data, Dr McCalden explains why VERILAST has achieved the lowest revision rates over the last 10 years, concluding with his opinion on the gold standard of bearing surface.

UKA: Where Does It Fit in My Practice?

Dr Reid Brown (US) discusses the suitability and performance of unicompartmental knee arthroplasty in his practice, including criteria for choosing the right procedure and comparisons to total knee arthroplasty. He explains how UKA can be done as an outpatient procedure and how modern techniques have improved outcomes. Comparisons include kinematics, pain, blood loss, length of hospital stay and patient satisfaction. Dr Brown is Director of Joint Replacement at Baptist Health, Louisville, KY.

Fixed v. Mobile Bearing: The Solution to the Debate

Dr Michael Ast (US) discusses the advantages and disadvantages of both fixed and mobile bearings in unicompartmental knee arthroplasty. He covers aspects such as design rationale, mobility, wear and kinematics, before offering his own experience on bearing selection. He concludes by explaining why he is an advocate for the use of advanced technology in UKA. Dr Ast is Director of Outpatient Joint Replacement at Mercer County Surgery Center.

Bi-Cruciate Retraining Knees: Design Rationale and Early Results

In this lecture, Dr James Ballard (US) offers his experience on bi-cruciate retaining knee replacement and the goal of limiting cases of patient dissatisfaction. He outlines the importance of understanding the history and progression of bi-cruciate knee replacement, and how advancements now allow outpatient surgery. Dr Ballard offers his expertise on ACL and PCL retention, with performance data on the use of JOURNEY™ II knees and a patient case study.

Robotics: NAVIO Overview

A lecture by Dr David Ravinski on his experience with robotics assistance in total and unicompartmental knee arthroplasty. Dr Ravinski explains how NAVIO robotics assistance works, outlining how it helps cutting accuracy and tibia preparation with surface mapping, kinematic data and gap balancing tools, promoting reproducible results through precision execution and verification. Dr Ravinski is Assistant Clinical Professor, University of Hawaii John A Burns School of Medicine.